nurseofalltrades

nurseofalltrades

LTC?Skilled and dialysis

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All Content by nurseofalltrades

  1. Code Blue in LTC

    I have worked LTC for 5 years. This is how our codes are run.... 1st nurse (LPN orRN) on scene takes charge and starts delegating...."U cna go get crash cart" "U other LPN call 911" and so on. The initial charge nurse on scene checks for pulse/breath...
  2. Floating (sign of bad management?)

    I work in long term care/skilled facility and I have to float to all 3 units. I hate it very much but our staffing is horrible so I dont have a choice
  3. medications

    Well my best advice is to follow the rights...right patient, right time, right med, right dose and right route and document, document,document. Everyone makes mistakes but if you follow the mar closely that should help limit med errors. You dont want...
  4. Thorazine

    Yes we have a patient who had hiccups for a very long time and was prescribed Thorazine and it worked quickly!
  5. Stupid things said by your non-nurse significant other

    Regardless of my husbands symptoms everything he has is "the gout"... If he has diarrhea he says "I think i have the gout" . No need trying to explain to him what that is ....he is a dork!
  6. No more mandatory overtime.....

    Our facility is (to put it mildly) screwed. We dont have enough staff to take care of the residents safely and I have been working anywhere from one to two 16 hour shifts a week in addition to my 12s which is burning me out rapidly. They supposedly h...
  7. Unsafe Nurse-to-Patient Ratio

    Complaining and documenting staffing issues doesnt always work.I work in a LTC/skilled facility and currently have 38 patients to myself during a 6am to 6 pm shift. I have been doing med these med passes for 4 years and each one takes me at least 3 1...
  8. Lantus

    Why was the nurse getting all bijiggity over a BS of 70? I have a gentleman who is 20 or 24 every morning. 70 isnt that low.
  9. nurse to patient ratio

    I wonder sometimes why they let us work in these conditons. Do they realize how stressed out we are? I mean say I have my usual 38 pts(is my avg) and one falls and one is vomitting and one is combative..How easy would it be for me to make a mistake t...
  10. nurse to patient ratio

    I posted something similar to this a few weeks ago. I work 6am to 6pm and I too have anywhere from 35 to 40 residents to myself as do the other LPNs. Do we think it is safe? Absolutely not. Our management doesnt give a damn because the work manages t...
  11. patient to nurse ratio

    Thanks for all of the responses. I work 6am to 6pm shift and have the tremendous workload. In my area there aren't alot of job options.I hate where I am and am afraid that in time I am going to grow to hate nursing because of my work conditions. I re...
  12. patient to nurse ratio

    At my facility I have a 39:1 patient to nurse ratio. I am so burned out that I often cry on te way home from work. I am in charge of meds,txs,charting, taking orders off and praying like heck that no one falls, gets sick or heaven forbid calls off. W...
  13. Low motility sperm

    Just wondered if anyone knew someone whose sperms were slow swimmers but they managed to father a child?
  14. New job in LTC and not feeling too sure about it

    Well Iwanna from a LTC LPN working there for 4 years so far...it doesnt get any easier. Just when you think you are running on schedule and all is well, something pops up or someone falls and puts u behind. It is a very stressful and demanding job an...
  15. Longing to get out of LTC

    Well Travel50 , I will tell you that I have on average 35-40 patients under my wing. I usually work 2-1030pm which includes two med passes. The first pass lasts about 1 1/2 hours and the second is about 2 hours, so there is half my shift. We do not h...
  16. Longing to get out of LTC

    Oh My! Yes- I can totally relate to your discouragement. i have been in PC then LTC for a total of 4 years and I hate it. Our facility is not run the way it should be. I'm tired of the favoritism and certain things being swept under the rug. Another ...
  17. What would u do???? long one..sorry

    I know this is not an advice forum, but I am at my wits end.... I have been an LPN for almost two years at a LTC/Skilled facility. Every year when the new classes graduate, we receive some new nurses...some stay, some can't take the stress.(What? D...
  18. What would u do???? long one..sorry

    Thanks for the advice...Im sure I wont have trouble finding a group to voice their opinion....The newby actually jumped all over my sister (who is an LPN at he same facility) because she didnt give prn pain meds. My sister told her the gentleman in ...
  19. What would u do???? (lenghty sorry)

    I know this is not an advice forum, but I am at my wits end.... I have been an LPN for almost two years at a LTC/Skilled facility. Every year when the new classes graduate, we receive some new nurses...some stay, some can't take the stress.(What? D...
  20. How is it to be a dialysis nurse?

    I work in a dialysis unit in a prison....It has a lot more down time than my LTC job had. We have on average 30 inmates a day divided into two shifts.Honestly I would much rather be working in a hospital somewhere, but the job pays well and the sched...
  21. Reason for leaving a job?

    I would say something to the effect of "I would like to explore opportunities in a new environment and broaden my skills".
  22. So...where else do you work?

    I work in a nursing home and a prison
  23. care plans

    We did ALOT of care plans the first year of Nursing school...If there is anything I can do to help, lemme know.....the books are good tools....after u understand what is involved ( like not using medical dx)
  24. Roll Call, LPN to RN Students!!!

    I am an LPN in a LTC/Skilled facility...Starting my RN education this fall....Wish me luck!!!
  25. Difficulty

    Have been trying to conceive for a little over a year. Have been told my eggs and his swimmers are ok. Anyone else take awhile to get pregnant? What did u do to help? Drugs? stand on ur head after???LOL:bugeyes: